This IDC Health Insights report and its sister report, Vendor Assessment: Health Plans Seeking Stars, Adding Analytics Solutions for Medicare Advantage (August 2012), describe important five-star analytics solutions that help health plans compete in the Medicare Advantage market. Health plans are adopting these solutions because they help to earn valuable bonuses and consumer-oriented recognition against the government's five-star quality performance metrics. These bonuses are especially valuable against a backdrop of declining reimbursement rates.
Sven Lohse, research manager, Healthcare, with IDC Health Insights, says, "These solutions are quickly becoming a business requirement for current MA programs. In addition, we expect such five-star tools and capabilities will be useful to health plans as they cultivate MA- and non-MA-based business that is based on quality metrics (e.g., ACOs) and consumer-oriented business that will be transacted on health insurance exchanges."
Table of Contents
Table of Contents
IDC Health Insights Opinion
In This Study
The Five-Star Program
Key Offering Functionality
Overview of Offerings
General Dynamics Information Technology (Formerly ViPS)
Health Dialog (Bupa)
Inovalon (Formerly MedAssurant)
OptumInsight (UnitedHealth Group)
Verisk Health (Verisk Analytics)
Actions to Consider
Table: Key Commonalities and Differences Among Five-Star Offerings
Table: Number of Quality and Performance Measures for Five-Star Rating Program
Table: Overview of Five-Star Offerings
Table: Five-Star Rating Program Performance Processes and Objectives
Vendor Assessment: Profiles of Five-Star Medicare Advantage Analytics Solutions published by IDC Health Insights in August 30, 2012. This report consists of Pages: 22 and the price starts from US $ 4500.